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AP pelvis postop of complex total hip replacement - with custom-made Stanmore Worldwide Implants cup.

history: 36 yr male with acetabular collapse and Protrusio, treated initially with complex primary total hip replacement with biomet taperloc stem, 36mm ceramic on ceramic head/liner. Prosthesis and the liner has fallen dislocated and fell out of the cup spontaneously 1 week postop. see other images for Hx / xrays

Pt had RTA 10 yr ago, motorcycle vs bus, fracture right femur and tibia treated with IM nails, and fractured acetabulum managed conservatively.
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AP pelvis postop of complex total hip replacement - with custom-made Stanmore Worldwide Implants cup. history: 36 yr male with acetabular collapse and Protrusio, treated initially with complex primary total hip replacement with biomet taperloc stem, 36mm ceramic on ceramic head/liner. Prosthesis and the liner has fallen dislocated and fell out of the cup spontaneously 1 week postop. see other images for Hx / xrays Pt had RTA 10 yr ago, motorcycle vs bus, fracture right femur and tibia treated with IM nails, and fractured acetabulum managed conservatively.
lateral of Knee after fixation of peri-prosthetic fracture with 13 hole PERILOC plate and locking screws

History : 70 yr female, underwent PFC total knee replacement, then subsequent non-traumatic fracture 11 days post op
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lateral of Knee after fixation of peri-prosthetic fracture with 13 hole PERILOC plate and locking screws History : 70 yr female, underwent PFC total knee replacement, then subsequent non-traumatic fracture 11 days post op
AP of Knee after fixation of peri-prosthetic fracture with 13 hole PERILOC plate and locking screws

History : 70 yr female, underwent PFC total knee replacement, then subsequent non-traumatic fracture 11 days post op
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AP of Knee after fixation of peri-prosthetic fracture with 13 hole PERILOC plate and locking screws History : 70 yr female, underwent PFC total knee replacement, then subsequent non-traumatic fracture 11 days post op
AP of Knee peri-prosthetic fracture - clearly seen with oblique fracture

History : 70 yr female, underwent PFC total knee replacement, then subsequent non-traumatic fracture 11 days post op
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AP of Knee peri-prosthetic fracture - clearly seen with oblique fracture History : 70 yr female, underwent PFC total knee replacement, then subsequent non-traumatic fracture 11 days post op
Lateral of Knee peri-prosthetic fracture: Notching of femur post knee replacement is clearly seen with oblique fracture

History : 70 yr female, underwent PFC total knee replacement, then subsequent non-traumatic fracture 11 days post op
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Lateral of Knee peri-prosthetic fracture: Notching of femur post knee replacement is clearly seen with oblique fracture History : 70 yr female, underwent PFC total knee replacement, then subsequent non-traumatic fracture 11 days post op
Lateral of Knee: Notching of femur post knee replacement is clearly seen
History : 70 yr female, underwent PFC total knee replacement, then subsequent non-traumatic fracture 11 days post op
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Lateral of Knee: Notching of femur post knee replacement is clearly seen History : 70 yr female, underwent PFC total knee replacement, then subsequent non-traumatic fracture 11 days post op
AP tibia and fibula showing absent fibula after removal for strut graft reconstruction of peri-prosthetic fracture of non-invasive growing femoral replacement.

History: 9 yr male with osteosarcoma of distal femur.
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AP tibia and fibula showing absent fibula after removal for strut graft reconstruction of peri-prosthetic fracture of non-invasive growing femoral replacement. History: 9 yr male with osteosarcoma of distal femur.
lateral of proximal femur showing reconstruction of peri-prosthetic fracture of non-invasive growing femoral replacement with plate, cables and fibula strut graft.

History: 9 yr male with osteosarcoma of distal femur.
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lateral of proximal femur showing reconstruction of peri-prosthetic fracture of non-invasive growing femoral replacement with plate, cables and fibula strut graft. History: 9 yr male with osteosarcoma of distal femur.
AP pelvis showing reconstruction of peri-prosthetic fracture of non-invasive growing femoral replacement with plate, cables and fibula strut graft.

History: 9 yr male with osteosarcoma of distal femur.
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AP pelvis showing reconstruction of peri-prosthetic fracture of non-invasive growing femoral replacement with plate, cables and fibula strut graft. History: 9 yr male with osteosarcoma of distal femur.
AP left femur showing peri-prosthetic fracture of non-invasive growing femoral replacement.

History: 9 yr male with osteosarcoma of distal femur.
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AP left femur showing peri-prosthetic fracture of non-invasive growing femoral replacement. History: 9 yr male with osteosarcoma of distal femur.
AP left femur showing non-invasive growing femoral replacement.

History: 9 yr male with osteosarcoma of distal femur.
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AP left femur showing non-invasive growing femoral replacement. History: 9 yr male with osteosarcoma of distal femur.
AP pelvis 2 weeks postop in 36 yr male with acetabular collapse and Protrusio after complex primary total hip replacement with biomet taperloc stem, 36mm ceramic on ceramic head/liner. There is dislocation of the prosthesis and the liner has fallen out of the cup. 

History:RTA 10 yr ago, motorcycle vs bus, fracture right femur and tibia treated with IM nails, and fractured acetabulum managed conservatively. Presents with pain and 4cm shortening of right femur, he has a dilated acetabulum with evidence of old central dislocation. Imaging of the pelvis demonstrates protrusion of the right femoral head through the acetabulum into the pelvis. There is deformity of the femoral head with some reactive sclerosis seen in the adjacent acetabular margins. The medial wall of the right acetabulum is deficient and there is superior and central dislocation of the femoral head with secondary osteoarthritis.
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AP pelvis 2 weeks postop in 36 yr male with acetabular collapse and Protrusio after complex primary total hip replacement with biomet taperloc stem, 36mm ceramic on ceramic head/liner. There is dislocation of the prosthesis and the liner has fallen out of the cup. History:RTA 10 yr ago, motorcycle vs bus, fracture right femur and tibia treated with IM nails, and fractured acetabulum managed conservatively. Presents with pain and 4cm shortening of right femur, he has a dilated acetabulum with evidence of old central dislocation. Imaging of the pelvis demonstrates protrusion of the right femoral head through the acetabulum into the pelvis. There is deformity of the femoral head with some reactive sclerosis seen in the adjacent acetabular margins. The medial wall of the right acetabulum is deficient and there is superior and central dislocation of the femoral head with secondary osteoarthritis.
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